Sec. 1451.2065. CONTRACTS WITH DENTISTS  


Latest version.
  • (a) In this section, "covered service" means a dental care service for which reimbursement is available under a patient's employee benefit plan or health insurance policy, or for which reimbursement is available subject to a contractual limitation, including:

    (1) a deductible;

    (2) a copayment;

    (3) coinsurance;

    (4) a waiting period;

    (5) an annual or lifetime maximum limit;

    (6) a frequency limitation; or

    (7) an alternative benefit payment.

    (b) A contract between an insurer and a dentist may not limit the fee the dentist may charge for a service that is not a covered service.

Added by Acts 2011, 82nd Leg., R.S., Ch. 1061 , Sec. 2, eff. September 1, 2011.